Commissioner's Bulletin # B-0015-20

The record

Jurisdiction

Texas; Texas Department of Insurance · Texas

Level

Sector regulator

Authority

Tex. Ins. Code §§ 843.337(b), 1301.102(d)

Issued

2020-03-27 Mar. 27, 2020

Effective

2020-03-27

End

Tolling runs for the length of each provider's certified interruption; certification due within 10 days after return to normal operations (read as 2021-09-30)

In force

Mar. 27, 2020 to Sept. 30, 2021

Quarters

2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3

2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3

Limitation types

Health care ordersOther

Addressees

• all life, accident and health insurers
• HMOs
• health care providers

Functions reached

• IN health insurers (claims intake)
• FD/OF billing and claims functions of every Texas health care provider (industries 01-04): the regulator treated the pandemic as a 'catastrophic event' interrupting claim submission

Collection

State insurance and banking regulators AGY-ST-INSURANCE-BANKING

Operative words

Texas Insurance Code Sections 843.337(b) and 1301.102(d) and TDI rule 28 TAC Section 21.2819 authorize tolling of the submission deadline when a provider cannot meet the deadline due to a catastrophic event, such as the COVID-19 pandemic. Providers that cannot meet the claim submission deadline due to the COVID-19 pandemic must notify TDI at [email protected]... When the provider returns to normal business operations, it must: Send TDI a certification of the catastrophic event within 10 days after the date business operations return to normal. The certification must be a sworn affidavit, must identify the specific nature and dates of the catastrophic event, and must state the length of time the event caused an interruption in the provider's submission of claims.

Enforcement

Notes